Most of the patients were women; the average age was 40 years. Van Slyke and colleagues required patients to refrain from smoking for at least two weeks before elective procedures."Surgeons, who request preoperative smoking cessation, may influence patients long-term smoking status," Slyke added. Five years after the cosmetic surgery, 47 patients responded to a follow-up survey. Van Slyke from the University of British Columbia, Vancouver.About 70 per cent agreed that discussing their increased surgical risks with the plastic surgeon influenced their ability to quit or reduce smoking.A study has recently found that many patients receiving these instructions would quit smoking or at least smoke less in the years after cosmetic surgery.The authors concluded, "The dialogue between plastic surgeon and patient during the cosmetic surgery consultation serves as a unique moment to provide targeted smoking cessation counseling that may persist well beyond the surgical interaction.